Evaluation of an Anger Management Therapy Programme Following Acquired Brain Injury: A Preliminary Study
Abstract
Problems with anger management after traumatic brain injury are one of the most frequent changes in the long term reported by relatives of injured people. In spite of their impact there have been few reports either describing therapy procedures for this disorder or examining their efficacy. The present study evaluated a cognitive-behavioural intervention for anger management difficulties following acquired brain injury. Participants were screened and randomly allocated to either a Treatment Group (TREAT) or Waiting List Group (WAIT). Each participant in TREAT received approximately six, hourly individual sessions of anger-management therapy while those in WAIT monitored their anger daily. Sixteen participants proceeded through to the final stages of the study. A significant decrease in anger on the State-Trait Anger Expression Inventory (STAXI) was found for TREAT in comparison with WAIT at post-treatment. Repeated-measures analyses for TREAT showed significant improvements between pre-treatment and post-treatment measures (immediate and 2-month follow-up) on the STAXI. No significant generalisation of treatment effects to self-esteem, anxiety, depression, or degree of self-awareness were found.
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These effect sizes are comparable to those achieved using CBT with this population (e.g., ES=0.89 Medd & Tate, 2000; ES>1.0 Simpson et al., 2011; ES=0.50 Hsieh et al., 2012).
“These effect sizes (ES) are comparable to those achieved using CBT with this population, for example ES = 0.89 (Medd & Tate, 2000), ES > 1.0 (Simpson et al., 2011) and ES = 0.50 (Hsieh et al., 2012).”
From Can acceptance and commitment therapy facilitate psychological adjustment after a severe traumatic brain injury? A pilot randomized controlled trial. (2020) · cites this paper as Medd & Tate, 2000
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Evidence-Based Cognitive Rehabilitation: Updated Review of the Literature From 1998 Through 2002
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“In relation to the heterogeneity of the study samples, some studies included acquired brain injury with a mix of aetiologies (Bradbury et al., 2008; Hodgson, McDonald, Tate, & Gertler, 2005; Medd & Tate, 2000).”
BackgroundResultInfluentialWhiting, D. L., Simpson, G. K., McLeod, H. J., Deane, F. P., & Ciarrochi, J. (2012) · Brain Impairment · doi:10.1017/brimp.2012.28 · Cited by 19 · see citing works
Flores-Sandoval, C., Teasell, R., MacKenzie, H. M., McIntyre, A., Barua, U., Mehta, S., Bayley, M., & Bateman, E. A. (2024) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0000000000000984 · Cited by 16 · see citing works
“Medd and Tate 60 examined anger management therapy, delivered over 5 to 8 weekly individual sessions.”
McDonald, S., Anderson, V., Ponsford, J., Tate, R., Togher, L., Morgan, A., Fleming, J., Ownsworth, T., Douglas, J., & Murdoch, B. (2012) · Brain Impairment · doi:10.1017/brimp.2012.21 · Cited by 10 · see citing works
Self-citation
- Authors
- Medd, J., & Tate, R. L.
- Affiliations
- The University of Sydney (AU)
- ORCID
- Tate, Robyn L.
- Venue
- Neuropsychological Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2000-03
- Volume
- 10
- Issue
- 2
- Pages
- 185-201
- ISSN
- 0960-2011 (ISSN-L)
- 1464-0694
- OpenAlex
- W2130816323
- Cited by
- 143
- References
- 3
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 6 · 2018: 4 · 2017: 8 · 2016: 9 · 2015: 4 · 2014: 6 · 2013: 9 · 2012: 12
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropsychological Rehabilitation (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- anger management, acquired brain injury, traumatic brain injury, cognitive behavioral therapy, anger expression, State-Trait Anger Expression Inventory, treatment efficacy, self-awareness, self-esteem, anxiety, depression
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